ISMP Safety Brief: Prevent Additional Patient Harm and Deaths From Accidental Daily Methotrexate Dosing
National Association of Boards of Pharmacy
MARCH 22, 2024
The error was discovered three weeks later during patient counseling with a pharmacist when the patient requested a refill. The error resulted in severe harm, which led to a long hospital stay and treatment with the rescue agent leucovorin calcium. mg tablets) once daily.
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